Chronic low back pain is one of the most common causes of reduced functional ability among older adults, yet this group is often underrepresented in clinical studies. The Brazilian study explores older adults’ perspectives on an eight-week program involving group-based exercise, patient education, and support via text messages.
The researchers encourage chiropractors to integrate elements of the program into their practice, especially when working with older patients. This could include simple home exercises, targeted patient education, and the use of low-tech reminders.
Perspective for Chiropractic Practice
The study shows that older patients can greatly benefit from combined programs of exercise and education—even in low-resource settings. For chiropractors, this means:
- Group-based programs focusing on empowerment and community can increase engagement.
- Patient education should be tailored to the needs and experiences of older adults—especially to dispel myths about inactivity and pain.
- Technological solutions should match the patient’s digital skills and be supported by personal contact.
- Relational care is just as important as clinical intervention. “They knew how to take care of people,” said one participant.
Clinically Relevant Findings
The study identified four key themes chiropractors should be aware of:
- Social support is crucial
Participants’ motivation was closely tied to support from family, practitioners, and fellow patients. Chiropractors should consider how to involve relatives and create a supportive treatment environment. - Changed attitudes toward movement
Many participants were initially skeptical about physical activity as treatment but experienced significant improvements and changed their views on exercise. This highlights the importance of patient education and gradual exposure. - Comorbidities and practical barriers
Conditions such as heart problems and osteoarthritis, as well as transportation difficulties and unsafe environments, affected participation. Chiropractors should consider these factors in treatment planning. - Technology as both support and barrier
Text messages served as effective reminders for some, but low digital literacy was a barrier for others. This points to the need for differentiated communication and technological support.
Fabianna Resende de Jesus-Moraleida, Ana Carla Lima Nunes, Crislaine Silva Costa, Lara Figueiredo Vasconcelos, Nathalia Costa. “They knew how to take care of people”: a qualitative study on older adults with chronic low back pain perspectives of an exercise plus education program. Chiropractic & Manual Therapies 2025.
Read the research paper